KinderCare Education, LLC- Riverbend

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The wooden cubbies in the three’s classroom fell from the wall hitting a child that was napping under the cubbies resulting in the child sustaining a bump on the head and bruises.”

Rule 8VAC20-780-270-A.

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have, within 90 days of employment a current CPR and first aid certification. Staff #5 has been employed for four months and has not completed CPR and first aid certification.”

Rule 8VAC20-780-530-A.

8VAC20-780-150-B

“Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The immunization and physical record for child #3 did not contain a signature.”

Rule 8VAC20-780-150-B.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center did not follow their medication policy to notify parents/guardians about medication that expires soon and returned expired medications to the parent. One medication expired February 2026.”

Rule 8VAC20-780-40-E.

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. In the Discovery Preschool 1, the list was posted on the white board in the classroom visible to anyone that entered the room.”

Rule 8VAC20-780-40-M.

8VAC20-780-570-A

“When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. The four children in Infant 2 were not fastened into their high chairs.”

Rule 8VAC20-780-570-A.

8VAC20-790-600-D-1

“All staff must maintain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #5’s CPR certification expired two months ago.”

Rule 8VAC20-790-600-D-1.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #4 has been attending the center for eight weeks and does not have immunization records.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #4, who had been enrolled for eight weeks.”

Rule 8VAC20-780-140-A.

8VAC20-780-40-M

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. In three of the rooms the list were dated differently and contained incorrect information.”

Rule 8VAC20-780-40-M.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The provider has no documentation of a fire inspection being completed since 2023.”

Rule 8VAC20-780-260-A.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. No lockdown drill was completed in 2024.”

Rule 8VAC20-780-550-F.

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Exception: Twelve inches of space are not required where cots, beds, or rest mats are located adjacent to a wall or a divider as long as one side is open at all times to allow for passage. In the Discovery Preschool room, two children’s cots were touching.”

Rule 8VAC20-780-440-E.

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: These products do not need to be kept locked but shall be inaccessible to children. In the Discovery Preschool room diaper ointment was under the changing table and accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-780-40-E

“REPEAT VIOLAIONT/SYSTEMIC DEFICIENCY The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Staff #1 and Staff #2 did not follow procedures in completing the Child Supervision Record (CSR) by checking. A review of CSR document dated November 8, 2024 showed staff not checking out.”

Rule 8VAC20-780-40-E.

8VAC20-780-500-B

“The diapering surface shall be used only for diapering or cleaning children. A clip board and other small objects was on the diapering surface.”

Rule 8VAC20-780-500-B.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than nine days, did not have documentation of requesting a central registry check and no documentation of sex offender registry check from the state previous resided in the preceding five years.”

Rule 22.1-289.035-B-4.

8VAC20-780-40-L

“The center is required to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions. Two teachers were not informed of a child’s allergy, which was confirmed by the director.”

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

“The center failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. The lists posted in three classrooms did not include all children’s allergies, sensitivities, and dietary restrictions.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-D

“The center is required to implement a monthly practice evacuation drill. The last documented drill was June 2024. One staff stated they believed one was done in August.”

Rule 8VAC20-780-550-D.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During a seven minute period, a three-year-old child was left unsupervised in a classroom.”

Rule 8VAC20-780-340-F.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was peeling paint around the doors and windows on the toddler discovery playground.”

Rule 8VAC20-780-270-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. A two-year-old child was left unsupervised on the toddler discovery playground for approximately 35 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

“The center is to ensure that it’s activities, services, and facilities are maintained in compliance with the standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Staff 1 and staff 2 did not follow procedures in completing the Child Supervision Record to ensure children were accounted for at all times.”

Rule 8VAC20-780-40-E.

8VAC20-770-60-C-2

“Based on a review of staff records, the center failed to ensure that a central registry finding had been completed and on file within 30 days of employment. Evidence: 1. Staff #1’s date of hire was 05/21/2024. There was not a completed central registry finding in the staff record. 2. Administration verified the date of employment for Staff #1, and that there was not a completed central registry finding in the record.”

Rule 8VAC20-770-60-C-2.

Based on record review, the center failed to require staff who work directly with children to complete the department’s health and safety update course annually.

“Evidence: Staff 1, hire date 9/22, last completed the department’s health and safety update course on 10/4/22. Staff 2, hire date 3/15/23, last completed the department’s health and safety update course on 11/9/22. Staff 4, hire date 8/22/22, last completed the department’s health and safety update course on 8/10/22.”

Rule 8VAC20-790-600-F.

(REPEAT VIOLATION)(SYSTEMIC DEFICIENCY) Based on record review and interview, the center failed to obtain documentation that each child received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for child 1 (start date 1/22/24) and child 8 (start date 10/10/23) did not contain documentation of an immunization prior to the first day of attendance. Immunizations for child 1 was dated 3/5/24 and immunizations for child 8 was dated 1/19/24.”

Rule 8VAC20-780-130-A.

(REPEAT VIOLATION) Based on record review and interview, the center failed to ensure each child has a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record for child 1 (first day 1/22/24), child 3 (first day 1/16/23) and child 7 (first day 8/7/23) did not have physical examinations. The record for child 8 (first day 10/10/23) has a physical examination dated 1/19/24.”

Rule 8VAC20-780-140-A.

(SYSTEMIC DEFICIENCY) Based on observation, the center failed to ensure immunization records were signed by a physician, his designee, or an official of a local health department.

“Evidence: The immunization records for child 1, 3 and 7 were not signed.”

Rule 8VAC20-780-150-B.

Based on record review and interview, the center failed to ensure staff completed at least 16hours of annual training appropriate to the age of children in care.

“Evidence: Per a review of the records for Staff 4 (annual timeframe 8/22/22 to 8/21/23) and Staff 5 (annual timeframe 8/24/22 to 8/23/23), they did not complete at least 16 hours of annual training. The director verified Staff 4 and Staff 5 did not complete at least 16 hours of training during the required timeframes.”

Rule 8VAC20-780-245-A.

Based on observation, the center failed to ensure during the designated rest period cots used by children have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“Evidence: In the Toddler 1 room and Preschool 1 room none of the cots had a bottom cover during the designated rest period.”

Rule 8VAC20-780-450-A.

Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. The start date for child 1 was documented as 3/7/22. The documentation of immunizations in child 1’s file was dated 6/14/23. 2. The start date for child 2 was documented as 1/20/23. The documentation of immunizations in child 1’s file was dated 1/26/23. 3. The start date for child 4 was documented as 8/28/23. The documentation of immunizations in child 4’s file was dated 11/1/23.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain documentation of a physical examination before the child’s attendance; or within 30 days after the first day of attendance.

“Evidence: 1. The start date for child 3 was documented as 8/28/23. The documentation of physical examination in child 3’s file was dated 10/6/23. 2. The start date for child 4 was documented as 8/28/23. The documentation of physical examination in child 4’s file was dated 11/1/23.”

Rule 8VAC20-780-140-A.

(REPEAT VIOLATION) Based on record review, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 days of the date of employment.

“Evidence: The TB documentation for staff 2 is dated 11/11/22. The start date for staff 2 is documented as 3/15/23.”

Rule 8VAC20-780-160-A.

Based on record review, the center failed to ensure each staff member submit a follow-up tuberculosis (TB) screening at least every two years from the date of the previous test or screening.

“Evidence: The documentation for the TB for staff 1 is dated 11/14/2021.”

Rule 8VAC20-780-160-C.

Based on record review and interview, the center failed to ensure an annual approval from the health department was provided.

“Evidence: The center provided documentation of the most recent health inspection which was dated 12/21/2021.”

Rule 8VAC20-780-260-B.

Based on record review and interview, the center failed to obtain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: 1. The record for child 2, start date 1/20/23, only contained one emergency contact that was not the parents. 2. The director verified they did not have any other emergency contacts for child 2.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure a program lead was present and met one of the program lead qualifications.

“Evidence: 1. The director stated staff 3 was the lead in the toddler classroom. 2. The record for staff 3 shows a start date of 11/23/20 and a high school diploma. There was no further training, certification or higher education.”

Rule 8VAC20-780-210-A.

Based on interview, the center failed to ensure behavior guidance was used to promote children’s physical, intellectual, emotional, and social well-being, and growth, and to interact with the children to provide needed help, comfort, and support.

Rule 8VAC20-780-400-A. From a complaint.

Based on interviews, the center failed to ensure staff did not practice forbidden actions such as roughly handling or restricting movement.

“Evidence: 1. On an observer stated witnessed on 11/15/2023 staff 1 pull a child by his wrist and drag him to the table. When he got to his chair, he flopped onto the ground and staff 1 responded by standing over him, putting one of her hands on both of his knees and held him down while she reprimanded him for ?being difficult.? 2. The director stated staff 1 no longer worked for the center and that none of the accusations surprised her. She retired and was ready to leave.”

Rule 8VAC20-780-410-1. From a complaint.

Based on review of six records, the program failed to ensure that a sworn statement was completed prior to first day of employment for two staff.

“Evidence: 1. The first day of employment for Staff #2 was 03/15/2023. The sworn statement was completed 03/29/2023. 2. The first day of employment for Staff #3 was 01/24/2023. The sworn statement was completed 03/29/2023.”

Rule 8VAC20-770-60-B.

Complaint related

“Based on observations and interviews, the program failed to ensure that the required staff-to-children ratios were met. Evidence: 1. On March 29, 2023, at 8:40 am, 13 children where under the supervision of Staff #1 in the Pre K classroom (4 and 5 years old). The required staff-to-children ratio is 1:10. 2. Staff #1 confirmed there were 13 children in the classroom. 3. Staff #2 joined classroom within three minutes.”

Rule 8VAC20-780-350-B-4. From a complaint.

Based on review of five staff records, the program failed to ensure three staff submitted documentation of a negative tuberculosis screening according to required time frames.

“Evidence: 1. The first day of employment for Staff # 1 was 8/23/2022. The TB screening in the file was dated 9/28/2022. 2. The first day of employment for Staff #2 was 4/22/2022. The TB screening in the file was dated 3/17/2022. 3. The first day of employment for Staff #3 was 8/22/2022. The TB screening in the file was dated 9/27/2022.”

Rule 8VAC20-780-160-A.

Based on review of five staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment.

“Evidence: 1. The first day of employment for Staff #4 was 3/17/2022. There certificate of completion in the file was dated 10/11/2022.”

Rule 8VAC20-780-240-A.

Based on review of required paperwork, program failed to provide an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: T 1 The last fire inspection report provided was dated 7/29/2021. 2. The administrator confirmed the inspection had not been completed, but had been requested.”

Rule 8VAC20-780-260-A.

Based on record review, program did not ensure that results from the criminal history record check were received prior to the first date of employment.

“Evidence: 1. The first date of employment for Staff #1 was 1/27/22. 2. There were no results in file. 3. A portability request to the Office of Background Investigations was submitted on1/19/22.”

Rule 22.1-289.035-B-2.

Based on record review, program did not ensure that a sworn statement was completed prior to date of employment.

“Evidence: 1. The first date of employment for Staff #1 was 1/27/22. 2. The completed sworn statement was dated 3/23/22. 3. The first date of employment for Staff # 7 was 8/20/21. 4. The completed sworn statement was dated 8/23/21.”

Rule 8VAC20-770-60-B.